Bristol-Myers
Squibb Company (NYSE: BMY) and Pfizer
(NYSE: PFE) announced that the U.S. Food and Drug Administration (FDA)
has issued a Complete Response Letter (CRL) regarding the New Drug
Application (NDA) for ELIQUIS® (apixaban) for the
prevention of stroke and systemic embolism in patients with nonvalvular
atrial fibrillation.
The CRL requests additional information on data management and
verification from the ARISTOTLE trial. Bristol-Myers Squibb and Pfizer
will work closely with the FDA on the appropriate next steps for the
ELIQUIS application. The FDA has not requested that the companies
complete any new studies. FDA and the companies are committed to working
expeditiously to address the outstanding questions and move the
application forward.
"There is a significant unmet need to reduce the risk of stroke in
patients with atrial fibrillation," said Elliott Sigal, M.D., Ph.D.,
Executive Vice President and Chief Scientific Officer, Bristol-Myers
Squibb. "We believe that the two large trials called ARISTOTLE and
AVERROES have established the therapeutic profile for ELIQUIS and
demonstrated a meaningful advance over the standard of care."
The companies continue to progress the ELIQUIS application for stroke
prevention in atrial fibrillation in markets outside of the U.S.,
including the European Union and Japan, based on the ARISTOTLE and
AVERROES studies. These studies evaluated ELIQUIS in approximately
24,000 patients with atrial fibrillation, including patients who are
expected or demonstrated to be unsuitable for vitamin K antagonist (VKA)
therapy. The companies are committed to an ongoing clinical development
program for ELIQUIS, which is projected to include nearly 60,000
patients worldwide across multiple indications and patient populations
and includes a total of nine completed or ongoing, randomized,
double-blind Phase 3 trials.